SDOH are the non-medical factors that account for up to 80% of patients’ health outcomes. Unmet health related social needs (HRSN) can widen health inequities and worsen clinical outcomes for patients living with diabetes. The path to connection can be interrupted at many steps: patients may not present to an appointment where screening is occurring, patients may not report a social need out of stigma or fear, clinical staff may not recognize or act on the need, patients may decline help again due to stigma or lack of knowledge of resources available, clinical staff may not know about resources for which the patient is eligible, and the community may not have the resource available. Addressing health related social needs in clinical settings requires tackling each step. We share how we have approached improving connection. We hired community health workers to create centralized social support team where clinical staff could refer patients to help connect to resources. In order to facilitate recognition of a positive screen and to refer patients to the centralized social support team or care management, we developed practice alerts (OPAs). We will present the design, build, and effect of two practice alerts in increasing referrals to care management and centralized social support.